Ellis, Michael Joseph

Ellis, Michael Joseph is an sole proprietor health care provider with primary practice located at 4057 Asbury Ave Ste 21 , Tinton Falls NJ 07753-7700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ellis, Michael Joseph can be contacted via phone (848) 217-2662.

Contact Information

Primary practice address
4057 Asbury Ave Ste 21 Tinton Falls NJ 07753-7700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 11671 South Dakota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MB10268400 New Jersey

Profile Details

NPI number 1972986693
LBN Legal business name Ellis, Michael Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2015
Last updated May 7th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers